Healthcare Provider Details

I. General information

NPI: 1659297729
Provider Name (Legal Business Name): ELEVATOR SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15625 BIRCH RUN TER
LAUREL MD
20707-3583
US

IV. Provider business mailing address

15625 BIRCH RUN TER
LAUREL MD
20707-3583
US

V. Phone/Fax

Practice location:
  • Phone: 301-919-0391
  • Fax:
Mailing address:
  • Phone: 301-919-0391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: EVELYN OLIVEIRA
Title or Position: OWNER
Credential:
Phone: 301-919-0391